Select Pharmacy Llc
Long Term Care Pharmacy
628 W 7250 S, Midvale
Utah, 84047-1060
801-849-1595 801-895-7450
Select Pharmacy Llc is a Long Term Care Pharmacy in Midvale, Utah. It is located at 628 W 7250 S, Midvale and it's customer support contact number is 801-849-1595. The authorized person of Select Pharmacy Llc is Roy Payne who is President of the pharmacy and his contact number is 801-759-8981. Active license number of Select Pharmacy Llc is 9633146-1704 for Long Term Care Pharmacy in Utah. Select Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Select Pharmacy Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Select Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Select Pharmacy Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 628 W 7250 S, Midvale,
Utah, 84047-1060 |
| Phone: | 801-849-1595 |
| Fax: | 801-895-7450 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Roy Payne |
| Position: | President |
| Contact Number: | 801-759-8981 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1154795854 |
| NPI Enumeration Date: | 18 Nov, 2015 |
| NPI Last Update On: | 07 Feb, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Select Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 9633146-1704 | Utah | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2157509 | Other | | Pk |
Medicare Enrollment:
Select Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4284917089 | O20170201001313 | Select Pharmacy Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 628 W 7250 S,
Midvale, Utah |
| Zip: | 84047-1060 |
| Phone Number: | 801-849-1595 |
| Fax Number: | 801-895-7450 |
Patients can reach Select Pharmacy Llc at
628 W 7250 S, Midvale, Utah or can
call on customer care at 801-849-1595.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.